“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient data is being tracked and used by their organization’s website, social media pages, and payment portals.”
Continue readingSignificant Upcoding Risks Emerge with Medicare Advantage
Christi Grimm, the Inspector General of HHS, gave a recent keynote address to compliance professionals. In it, she said, “Simply put, the financial incentives created by risk adjustment may be driving upcoding in the severity of diagnoses to garner additional payments.”
Continue readingPreparing for the End of the Public Health Emergency
Changes to PHE waivers and recommendations for hospitals. Compliance must assist and advise on policy, process, contractual, and operational changes by May 2023.
Continue readingPatient-Focused Elements of an Effective Healthcare Compliance Program
Improve patient experience. Use the OIG’s seven elements to guide and align healthcare compliance with compassionate, quality patient care.
Continue readingSanctions and penalties for hiring excluded individuals in healthcare
Enforcement Actions: Sanctions and penalties for hiring excluded individuals in healthcare. Why is it crucial to avoid the risk of hiring excluded individuals? List of Excluded Individuals/Entities (LEIE)
Continue readingA million-dollar healthcare compliance monitoring mistake
Avoid this million-dollar monitoring mistake. Help clinical colleagues apply their expertise to your scalable, repeatable healthcare compliance processes.
Continue readingRight-of-access enforcement actions help patients control their health information
Three corrective action plans demonstrate OCR’s expectations for HIPAA compliance. Equip the patient-facing team to meet OCR’s HIPAA Right of Access Initiative
Continue readingTelehealth Enforcement
The increase in telehealth services by Medicare beneficiaries drives more scrutiny, audit, and enforcement actions by the Office of the Inspector General (OIG).
Continue readingBeneficiary inducement rule changes promote coordinated care
The OIG’s Beneficiary Inducement Final Rule is part of HHS Regulatory Sprint to Coordinated Care – Advancing the transition to value-based care.
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